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Assessing the risks of managed care participation: a practical analysis

R J Milligan1, D J DePaoli

  • 1Gallagher & Kennedy, Phoenix, AZ.

The Medical Staff Counselor
|March 4, 1994
PubMed

Insights

Physicians face increasing managed care participation. Understanding business and legal risks is crucial before signing managed care contracts to avoid potential pitfalls.

Area of Science:

  • Healthcare Management
  • Medical Business Law

Background:

  • Current market dynamics and political factors are increasing the importance of managed care for physicians.
  • Physician groups must adapt to evolving healthcare landscapes.

Purpose of the Study:

  • To highlight the growing significance of managed care participation for physicians.
  • To emphasize the necessity of understanding associated risks before contract engagement.

Main Methods:

  • Analysis of current market conditions.
  • Review of political influences on healthcare.
  • Assessment of business and legal risks in managed care.

Main Results:

  • Managed care participation is projected to become more critical for physicians.
  • Significant business and legal risks are associated with managed care contracts.

Conclusions:

  • Physicians must proactively assess managed care contracts.
  • Awareness of financial and legal implications is essential for successful managed care integration.

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